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PRE 2010 DOCSCity of Fridley, BE=. BUILDING PERMIT N° 5831 Date: x '� Owner: ,� ` , Builder _ f Address Address LOCATI EU A OF NG No. Str=eet'"!-.. sJ_ Partz�t; Lot __ Block _ Addition or Sub -Divi -w'- Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation A DESCRIPTION OF BUILDING T U„✓ Front _ Depth , Height Oo—� Sq. Ft. Cu. Ft. DepthIght Sq. Ft. �2a Cu. Ft A Type of nstruciion ,'r`x � ems_ Est. """o be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. q I consideration of the payment of a fee of , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work ddone in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upo violation y of the provisions of said ordinances. ,� ,.f . Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to sae the Building Inspector for separate permits for these items. w- '.,. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder. LOCATION OF BUILDING No: Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct.' /^\ /--) DATE (Schedule of Fee Costs can be found on the Reverse Side). IF Land Planning 6875 Niyhrroy sC5 #E. Lwd Survey by Q MinneoPn/s 2/, Soils 7esmy ENGINEERING, INC. Onix-vla CM/ & Municipal . I Sl/nsdf 4-6066 Enyineeriny - Engineers E Surveyors --- certificate ofoUrVey for 0. L. Anderm builder �Il Lj Z i W 'I 1 0 ti 9 / liem&j cerfify Eliot #o is a Ina mid ownd represenfoho of or sw et, q�'f/le diovidories �i' aGn� desc„►6�d lm�d, and o`'f/r lxvfio�J o�'a!/bnildiys, I wvw, and ed risible oxnoar%imenfs , �,r4. ws id land. As .wrreyed by sae Ai - &Y �► MQ,�r�/T A.D. 091. SU6UR8N ENGINEERING , INC. Eraffeers & SK s 1-7- SUBJECT,- - EI— IT NO. -� City of FridleyIr? �® 3'78'7 1 AT THE TOP OF THE TWINS PERMIT ' ` BUILDING CET `L _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i1 = � ��'���,,J CITY HALL FRIDLEY 55432 NUMBER REV. DATE- PAGE OF APPROVED BY ..•-� L 612-560-3450 910-F15 9/30/76 1 JOB ADDRESS 6549 Lucia Lane N.E. 1 LEGAL LOT NO. 11 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Dons 2nd Addition DESCR. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Jack R. Young 6549 Lucia Lane N.E 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Village 3918 W 49 1/2 Street —4—ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential —'7—CLASS OF WORK ❑ NEW I* ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK add porch addition 14' x 12' 9 CHANGEOFUSEFROM TO STIPULATIONS 1. Patio enclosure cannot be heated unless structure is altered to meet the energy code. SEPERATE PERMITS REQUIRED FOR WiRINGI HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTAUS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $'4p'850 2.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE / SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON— Q $29. 10.,` STRUCT R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE' TOTAL FEE 1po� $31.53 ,.SIGN0,1EOFCONT CT ORAUTHO ED AGENT IDA EI HEN PROP RLY V LI TED THIS IS Y y/PE MIooKT �76 BLDG )NSP DATE f SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME: 1Z. YcQU 1-4 C BUILDER: T="P�_' t CD ADDRESS: �S�¢5 - LUGI!\ LAJ1 F ADDRESS: 29►<) W• 49`2 V" TEL. NO. : 140: - C -S -�E9 STREET: L u C. t N t_ /N,.,.I Z_ LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Tceo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: _T___ C)rz-C_ " -Front: 14 Depth: L 72-- Height: (5 f Square Feet: 1 6 & Cubic Feet: ► .344 —Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: FRAME VI// -�z r.-_NG��,,,_3�Estimated Cost: $ .*To Be Completed: �c.-r 3�`T'''' TG The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: —SIGNATURE: (See Reverse Side For Additional Information.) d�cl. l � • $3 �0�3 's -r, p. pe -J-10 /jar rr- � l� � ��•D (�u LASS � �t c -i U� CITY 0►' 97 -8h -h16051 APPLICATION FOR PLUMBING AN rITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL R=bsr Fixtures x $3.00 m Pature Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 Water Heater.- to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ v x $7.00 o' New Ground Pun Old Building Water $5.00 •� N r. $5.00 $ w Z .4 N Q lst 3 fixtures .0 o a w Additional Fixtures x Heater ski Gas Pange to 199,000 BTU .4 b $10.00 A A E r a I e u s First $100.00 q v m s+ w each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 omi -.c� RF7tt.^,PG^f 7� G r1q: g «c+ ,oc u Q Q i U 0 O 'lec t W a' c� ;as lst ri 1 2nd 3rd 4 ti (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL R=bsr Fixtures x $3.00 $ Pature Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 Water Heater.- to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 �. New Ground Pun Old Building x $5.00 $ Electric Water Heater r. $5.00 $ GAS FITTING FEES: lst 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Pange to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 RF7tt.^,PG^f 7� G r1q: Job Address 6549 Lucia Lane Department of Buildings City of Fridley Tal. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. _6-9-78 , 19 OWNER YOUNG KIND OF BUILDING frame USED AS TO BE COMPLETED ABOUT 6-16-78 ESTIMATED COST 20.00 �7 OLD - NEW BUILDING PERMIT NO. PERMIT NO. / Company M�;://l� Signed By MIN1VFQ,AgC_$ Tel. No. ROUGH INSP. Date - FINAL INSP.%�� Date J[ APPROVAL FOR PERMIT 14J MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE StJE F Application for Power Plains and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 2.50 $ ' Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 1F• OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... —� x $1.50 $---b'570 Additional Fixtures .... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING -SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 Location '-'5: y f, d �. City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Used as To be completed about Estimated Cost, $ Old— e�Building Permit No. `�~� Permit No. cp_ G G DESCRIPTION OF WORK 0—I HEATING or POWER PLANTS—Steam, Hot Water�—No Trade Names P Size No.,�A6��'� Jr Capacity Sq. Ft. E.`D.RR/l®�®� BTU H.P. Total Connected Load -� o'�Tv��� Kind of Fuel®� i BURNER — Trade Name Size No. ,�® Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) SUBURBAN HEATING & SHEET METAL 8419 CENTER DRIVE N. E. Signe--MINNEAPPLIS 21, MINN By . <2 2M Business Phone No- -�TA4/2l� D-56 .az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor No I No I —, 2— Fl.1 Room I Length Width Height II / Fl.I i Windows and Doors—Cracl Width Height No. of No. of pane of pane I lights ji/ and Area meal ft. I Area 'crack eq. ft. Btu Glass yr - Exp. wall Net exp. wall Int. wall Ceiling �p Floor Total Btu. 8� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /° Room I Length/�i!P--, Width/L/ Height ST / Windows and Doors—Crackage and Area Z Width. Height No. of Lineal 1t.- Area No. of pane of pane lighte of crack eq. ft. Z >v :2-v. 7 L &ZY Coef. Btu 2-r 164�Y r ij 70 IT7�1- Coef. Btu Infiltration Coef. Btu Infiltration 26,49� Glass Exp. wall Z Glass D Net exp. wall Exp. wall Ceiling ,0 Ceiling Q Floor Net exp. wall O Ceiling a Int. wall Floor Ceiling 9 Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area p Fl. oom i Length /L / Width 7101/ Height P/ Windows andboors—Crackage and Area Z Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. y .3 Coef. Btu Infiltration 70 IT7�1- Coef. Btu Infiltration ��20 1 oo 26,49� Glass Exp. wall Z O D Net exp. wall Net exp. wallQ Int. wall OPk� Ceiling Int. wall Ceiling Q Floor O Ceiling Floor 1 btal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A4 Room I Length FRIDLEY, MINN. Insulation Height Windows and Doors—Crackage and Area Z Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No.of Lineal ft. Area No. of pane of pane lighte of crack eq. ft. Coef. Btu Infiltration 70 IT7�1- Coef. Btu Coef. Btu Infiltration 1 oo Glass Exp. wall Glass O Exp. wall y Floor Net exp. wallQ Int. wall OPk� Ceiling 422, Ceiling Q Floor O Total Btu. 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /.9 7 FV �R.O�`ry_ Room I Length /.)-/ Width//-oi� Heiaht-r--/ Windows and Doors—Crackage and Area Z Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 70 IT7�1- Coef. Btu Infiltration Exp. wall Net exp. wall Glass Exp. wall Int. wall O Net exp. wall Int. wall Floor 17140 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area I ♦ Fl.l o Room I Length/3/4 Width f�,-/ Heigh / endows and Doors—Crackage and Area Width Height No. of Lineal ft. Ares No. of pane of pane lights of crack sq. ft Coef. Btu Infiltration 70 IT7�1- Glass Exp. wall Net exp. wall �Q Int. wall Ceiling Floor 1 otal Btu. ft. E.D.R. or so. ins. W.A. Leader area City of Fridley App ication for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Location 4, / PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ p L) Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ......--�x 2.00 $ - New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z_ x $1.50 $T-� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ Ci TOTAL FEE $- �= City of Fridley: c The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the favi and representations stated in this application ate true and correct. l / . B 19A_2 ----,I' Owner OLZ Kind of Building Used as To be completed about — Estimated Cost, $ Ol Ne ' ding Permit ROUGH Y- / � - 4 FINAL ,,. Aa 2M Bye Business Phone �U' 00 0 N WATER HTR. GAS EIEC '�' �d in 3 o a U 6 •� Go R Base Ist 1 2nd 3rd 4th EF— I I • Fntnre Conaec3h— Openings Connected with Sewer ❑ New Fixture, Old OpenbW Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ p L) Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ......--�x 2.00 $ - New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z_ x $1.50 $T-� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ Ci TOTAL FEE $- �= City of Fridley: c The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the favi and representations stated in this application ate true and correct. l / . B 19A_2 ----,I' Owner OLZ Kind of Building Used as To be completed about — Estimated Cost, $ Ol Ne ' ding Permit ROUGH Y- / � - 4 FINAL ,,. Aa 2M Bye Business Phone SUBJECT City of Fridley 26849 AT THE TOP OF THE TWINS BUILDING PERMIT r , / e i COMMUNITY DEVELOPMENT DIV. ` ~ _ PROTECTIVE INSPECTION SEC. F , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 28 /98 JOB ADDRESS 6549 Lucia Ln I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Don's Addition 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Young 574-0122 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quality Contractinja 11380 W. River Rd 427-7733 7035 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION RI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 19 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR C NDITIONING. THIS PERMIT BECOME NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT CO MENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1584 $.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF, ANY OTHER STAT OR LOCAL LAW REGULATING CON- STRUCTION TH RFyyyORMA OF CONSTRUCTION. $51.25 Inre SC $1.58 PLAN CHECK FEEL FEE A- Licen SC $5 0 7,158.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR 1Y VALIDATAMTHIS IS OU PrE,I, IT turuuINS I � PATE SIGNATURE OF OWNER IIF OWNER SUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATION klP `� °tel ConstructionAddress: �, rt�c�t Z, � Legal Description: Owner Name Address: Contractor: Ck— Address: / < 3 � e cf t -L C. - c �-; e'. - Tel.# �? Y—(0( MN LICENSE # 7n Tel. # 412,-7--77 33 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: - Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: (_�� Construction Type: � a `f'c V- �` �' �'® l % Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ _ $ DATE:7/2V/-2V-APPLICANT: Tel. # 4/Z i — 7 7 -3-'�: STIPULATIONS: A CITY USE ONLY Permit Fee $ - S Fee Schedule on Reverse Side Fire Surcharge $ . �° .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 06) $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ [ ] Agreement Necessary [ ] Not NecessarySBI TOTAL $ STIPULATIONS: A 01 SUBJECT _. < City of Fridley 3 0 6 0 5 e AT THE TOP OF THE TWINS BUILDING PERMIT f � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L•______ r PROTECTIVE INSPECTION SEC. NumBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/28/99 JOB ADDRESS 6549 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Don's Addition 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE J R Young 6549 Lucia Lane NE 574-0122 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO JW Tite Home Improvements 8400 89 Ave N, Brooklyn Park, MN 55445 20039258 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 425-2227 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Replace windows 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Insp®ction Cards Will Be Mailed To Homeowner To Post. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ORWORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED�pp,��pp�� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT *NXX21 $3,908 $1.95 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 Flve SC $3.91 E PLAN CHE4eC Lice $ 7ALFEE $108.11 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H P E Y VAL1Ddk7D THIS IS YOUR RMIT S,GNATURE OF OWNERoF OWNER SUILDERI IDATEI BL G INSP pAt 01 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY (o I °J ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3 D BUILDING PERMIT APPLICATION Construction Address: k 5 y9 L v C/4 C 4r! C �� d l c y MN 551132 Legal Description: Owner Name & Address: J' -R • Ya vn9 65 L ock Gane AWAY AV6AWTel. # 5711- 0/ Contractor: Uindowlik, Home rovamcnks MN LICENSE #,2o4 39,559 Address: eresShw^ Ale ft &irez d4tir,*y Sri& 1/60- a'hoo 89AS.,,4h Tel. # /i/a-1125- a2a7 Attach to this application, a Certificate of Survey of.the lot, with the proposed construction drawn on .it to -scale. DESCRIPTION OF EYWROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: R,Ppl4ttmrof Windows Estimated Cost: $ 3908.06 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ M-9 DATE: /3 -►7 APPLICANT: Tel. # Was - aaa 7 Permit Fee Fire Surc'llwge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th% ) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]